Podcast
Questions and Answers
Which test should be performed for a patient with suspected stroke as early as possible?
Which test should be performed for a patient with suspected stroke as early as possible?
What are the signs indicating cardiac arrest in an unresponsive patient?
What are the signs indicating cardiac arrest in an unresponsive patient?
Agonal gasps
What should be the recommended next step after a defibrillation attempt?
What should be the recommended next step after a defibrillation attempt?
Resume CPR, starting with chest compressions
During post-cardiac arrest care, what is the recommended duration of targeted temperature management after reaching the correct temperature range?
During post-cardiac arrest care, what is the recommended duration of targeted temperature management after reaching the correct temperature range?
Signup and view all the answers
What is the next step in assessment and management of a patient who is unresponsive?
What is the next step in assessment and management of a patient who is unresponsive?
Signup and view all the answers
What should you administer first despite 2 defibrillator attempts failing?
What should you administer first despite 2 defibrillator attempts failing?
Signup and view all the answers
What immediate action should be taken when a patient has a return of spontaneous circulation but cannot follow commands?
What immediate action should be taken when a patient has a return of spontaneous circulation but cannot follow commands?
Signup and view all the answers
What should be the primary focus of a CPR coach?
What should be the primary focus of a CPR coach?
Signup and view all the answers
Which is the primary purpose of a medical emergency team or rapid response team?
Which is the primary purpose of a medical emergency team or rapid response team?
Signup and view all the answers
What is the recommended aspirin dose?
What is the recommended aspirin dose?
Signup and view all the answers
How can you increase chest compression fraction during a code?
How can you increase chest compression fraction during a code?
Signup and view all the answers
What is the max interval to allow for interruption in chest compressions?
What is the max interval to allow for interruption in chest compressions?
Signup and view all the answers
What is the recommended maximum goal time for medical contact-to-contact balloon inflation for STEMI patients?
What is the recommended maximum goal time for medical contact-to-contact balloon inflation for STEMI patients?
Signup and view all the answers
What compression rate is recommended?
What compression rate is recommended?
Signup and view all the answers
What condition do you suspect led to the cardiac arrest based on the initial presentation?
What condition do you suspect led to the cardiac arrest based on the initial presentation?
Signup and view all the answers
Study Notes
Non-contrast CT
- Essential for early detection of suspected stroke.
- Should be performed as quickly as possible following the onset of symptoms.
Monomorphic Ventricular Tachycardia
- A specific type of arrhythmia that can be identified during ECG monitoring.
Oropharyngeal Airway Measurement
- Measured from the corner of the mouth to the angle of the mandible to ensure proper sizing.
Fibrinolytic Therapy and Endovascular Therapy
- Administer fibrinolytic therapy as soon as possible for patients with suspected stroke within a suitable time frame.
CPR Post-Defibrillation
- Resume CPR immediately after a defibrillation attempt, focusing on chest compressions to maintain blood flow.
Agonal Gasps
- May indicate cardiac arrest in an unresponsive patient; requires immediate assessment.
12-lead ECG Evaluation
- A critical assessment tool for patients presenting with chest discomfort and unstable vital signs.
Targeted Temperature Management Duration
- Recommended for at least 24 hours post-cardiac arrest after achieving the desired temperature.
Second-degree AV Block Type 1
- A condition that may cause variable heart rhythms; assessment and management are crucial.
Patient Breathing and Pulse Check
- Immediate assessment step for unresponsive patients to determine the need for CPR.
Ventricular Fibrillation in Acute Coronary Syndrome
- Associated with symptoms like chest discomfort in patients with coronary stents.
Cardiac Arrest Suspicions
- Chest compressions are often indicative of conditions leading to cardiac arrest.
Epinephrine Administration
- Administer 1 mg IV of epinephrine for a patient in ventricular fibrillation after unsuccessful defibrillation attempts.
Lidocaine for V.fib
- Use 1-1.5 mg IV for patients experiencing ventricular fibrillation that does not respond to initial treatments.
Immediate Care Post-Cardiac Arrest
- Initiate targeted temperature management if the patient shows return of spontaneous circulation but is unresponsive.
Synchronized Cardioversion
- Recommended for patients with unstable rhythms that present with a pulse, but not in ventricular fibrillation.
Increasing Chest Compression Fraction
- Charge the defibrillator before conducting rhythm checks to reduce interruptions in CPR.
Team Role Management
- Encourage team members to request new task roles if found to be beyond their capabilities.
Continuous Waveform Capnography
- Essential for the confirmation and monitoring of endotracheal tube placement post-intubation.
Monitoring PetCO2
- Increases the quality of CPR by assessing effectiveness and guiding ventilation.
Ineffective Compressions Indicator
- A PetCO2 level reading of 8 signifies poor or ineffective compressions.
Third-degree AV Block
- Serious heart condition requiring prompt intervention and assessment.
Immediate Team Correction
- Address team member errors right away to avert potential mistakes in resuscitation scenarios.
Adenosine Dosage Strategy
- Administer 12 mg of adenosine following initial doses for stable narrow complex tachycardia.
Second-degree Type II Block
- A specific type of heart block that requires appropriate clinical attention.
Medical Emergency Teams (MET)
- Focused on improving patient outcomes through the early identification and treatment of clinical deterioration.
Amiodarone Administration
- Standard order is 300 mg as the first dose for ventricular fibrillation.
Recommended Aspirin Dose
- Dosage of 162-325 mg for patients with suspected acute coronary syndrome.
Epinephrine in Cardiac Arrest
- Administer 1 mg IV of epinephrine after 2 minutes of CPR and confirming pulselessness.
Minimum Systolic Blood Pressure
- Target a systolic BP of at least 90 mmHg for optimal perfusion.
CPR Coaching Focus
- Primary aim should be ensuring high-quality CPR is maintained throughout resuscitation efforts.
Monomorphic V Tach Algorithm
- The ACLS algorithm for adult tachycardia with a pulse specifically addresses monomorphic V tach cases.
Oxygen Application
- Initial response to low oxygen saturation levels (84% on room air) involves applying supplemental oxygen.
Synchronized Cardioversion Intervention
- Used for patients presenting with an unstable pulse and abnormal heart rhythms.
Defibrillation Approach
- Indicated for patients who are apneic and pulseless.
Team Leadership in Resuscitation
- Effective delegation of tasks is crucial to minimize inefficiencies during a resuscitation attempt.
Excessive Ventilation Consequence
- Can lead to decreased cardiac output and compromise patient care.
Pulse Check Duration
- Ensure pulse checks during BLS assessment last no longer than 5-10 seconds.
Amiodarone Dosing for Refractory V.fib
- First dose for refractory ventricular fibrillation is recommended at 300 mg.
Appropriate EMS Destination Post-Cardiac Arrest
- Transport patients to coronary reperfusion-capable medical centers after return of spontaneous circulation.
Defibrillation Logic
- Indicated for patients in ventricular fibrillation according to ACLS protocols.
Timely Interventions for STEMI Patients
- Aim for a maximum goal time of 90 minutes from medical contact to balloon inflation in suspected STEMI cases.
Compression Rate
- Maintain a chest compression rate of 100-120 compressions per minute during CPR.
Chest Compression Interruption
- Limit interruptions to a maximum of 10 seconds to maintain circulation.
Proper Ventilation Timing
- Ensure ventilation is provided once every 6 seconds during resuscitation efforts.
Prehospital Stroke Notification
- EMS should provide timely prehospital notification for patients with suspected strokes to optimize care.
Synchronized Cardioversion for Monomorphic V Tach
- Utilized for patients with a pulse in a state of unstable monomorphic ventricular tachycardia.
Targeted Temperature Management Range
- Recommended range is 32-36 degrees Celsius for 24 hours post-cardiac arrest.
Unstable Supraventricular Tachycardia
- A condition requiring rapid assessment and timely intervention during ACLS protocols.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
